How does RARC N860 pair with CARCs?

RARC N860 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

RARC N860: Alert: The Federal No Surprise Billing Act Qualified Payment

Alert: The Federal No Surprise Billing Act Qualified Payment Amount (QPA) was used to calculate the member cost share(s).

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC N860

Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every RARC and CARC pairing, plus payer-specific requirements.

Open in EDI Lab

RARC N860: Alert: The Federal No Surprise Billing Act Qualified Payment Amount (QPA) was used to calculate the member cost share(s).

See the full resolution workflow for RARC N860